Article

The aim of this study was to determine the association between
functional recovery and neuropsychiatric symptoms in hip fracture patients
undergoing in-hospital rehabilitation. Very few studies have extensively
evaluated neuropsychiatric symptoms in hip fracture patients, and the
relationship between these symptoms and rehabilitation outcome is not yet clearly
defined. DESIGN: This study was conducted on 200 patients with hip fracture who
underwent a rehabilitation program. The Neuropsychiatric Inventory was used to
identify neuropsychiatric symptoms. Efficiency and effectiveness in terms of the
motor-Functional Independence Measure and length of stay were considered as
outcome measures. RESULTS: At admission, 74% of the patients had neuropsychiatric
symptoms. At the end of rehabilitation, the patients with neuropsychiatric
symptoms had a lower motor-Functional Independence Measure effectiveness (P =
0.015) and efficiency (P = 0.002) and a longer length of stay (P = 0.008) than
those without neuropsychiatric symptoms. However, after adjustment for the
Mini-Mental State Examination, the patients with neuropsychiatric symptoms
differed from those without symptoms only in terms of longer length of stay (P =
0.006) and lower motor-Functional Independence Measure efficiency (P = 0.008).
CONCLUSIONS: Neuropsychiatric symptoms make the rehabilitation process slower and
less efficient in hip fracture patients. Understanding the relationship between
neuropsychiatric symptoms and outcome may be useful to physicians for the
management of hip fracture patients.

Langue : ANGLAIS